Tulsa Hurricane
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The University encourages its student-athletes to give back and volunteer their time in support of our community. To ensure compliance with NCAA rules the following information must be completed and submitted TWO WEEKS PRIOR TO THE STUDENT-ATHLETE APPEARING AT THE EVENT..

Required Field*

Organization Name*

Organization Representative*

Organization Classifcation*
Non-profit/Charitable
Institutional (TU only)
Educational/Scholastic
Personal
Other

If other, please explain

Organization Website*

Address*

Phone*

Fax*

Email*

City, State, Zip*

Title of Event*

Date of Activity (mm/dd/yyyy)*

Time of Activity*

Location of Event*

Purpose of Event*

Number of student-athlete requested, if not requesting the entire team*

Sports Team Requested*

What are the duties of the student-athlete(s) at the appearance?*

Expected Number of Attendees*

Is this a fundraiser*
Yes
No

If for students, what grade level?

Will the event involve the use of the student-athlete's athletic ability?*
Yes
No

Will there be any commercial sponsorship or co-sponsorship for this event?*
Yes
No

If yes, how will the commercial entity be involved?

Will there be any advertisement or promotion by a commercial agency?*
Yes
No

If yes, how will the event be advertised/promoted?

Will a student-athlete's name, picture, appearance, or involvement be used in any advertising or promotion of the event?*
Yes
No

If yes, how will the student-athlete be used in the advertising/promotion?

What expenses, if any, will the student-athlete receive as reimbursement for participating?*
Meals
Lodging
Transportation

If yes, amount?

Please note it is permissible for student-athletes to receive actual and necessary expenses for participating in the event.

By typing in my signature below and submitting this form I acknowledge the following:

  • All monies derived from any appearance will go directly to the non-profit, charitable, or educational organization.
  • Any funds raised in conjunction with this event or appearance will NOT benefit any high school, prep school, or junior college student.
  • I have read and agree to abide by the NCAA regulations below regarding the use of a student-athlete's name, photo, or appearance in the promotion or involvement of this activity and will not risk the eligibility of the student-athlete.

12.5.1.1 Institutional Charitable, Educational or Non-Profit Promotions. A member institution or recognized entity thereof (e.g. fraternity, sorority, or student organization), a member conference or a non-institutional charitable, educational or nonprofit agency may use the student-athlete's name, picture or appearance to support its charitable or educational activities or to support activities considered incidental to the student-athlete's participation in intercollegiate athletics, provided the following conditions are met:

(a) The student-athlete receives written approval to participate from the director of athletics (or his or her designee who may not be a coaching staff member);

(b) The specific activity or project in which the student-athlete participates does not involve co-sponsorship, advertisement or promotion by a commercial agency other than through the reproduction of the sponsoring company's officially registered regular trademark or logo on printed materials such as pictures, posters or calendars. The company's emblem, name, address and telephone number may be included with the trademark or logo. Personal names, messages and slogans (other than an officially registered trademark) are prohibited;

(c) The name or picture of a student-athlete with remaining eligibility may not appear on an institution's printed promotional item (e.g. poster, calendar) that includes a reproduction of a product with which a commercial entity is associated if the commercial entity's officially registered regular trademark or logo also appears on the item; (d) The student-athlete does not miss class;

(e) All moneys derived from the activity or project go directly to the member institution, member conference or the charitable, educational or nonprofit agency;

(f) The student-athlete may accept legitimate and normal expenses from the member institution, member conference or the charitable or nonprofit agency related to participation in such activity, provided it occurs within the state or, if outside the state, within a 100-mile radius of the member institution's campus;

(g) The student-athlete's name, picture or appearance is not utilized to promote the commercial ventures of any nonprofit agency;

(h) Any commercial items with names or pictures of student-athletes (other than highlight films or media guides) may be sold only at the member institution at which the student-athlete is enrolled, institutionally controlled outlets or outlets controlled by the charitable or educational organization; and

(i) The student-athlete and an authorized representative of the charitable, educational or nonprofit agency sign a release statement ensuring that the student-athlete's name, picture or appearance is used in a manner consistent with the requirement of this section.

Type Name for Signature*

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